Provider Demographics
NPI:1316371438
Name:R. PATEL DDS & S. PATEL DDS, A DENTAL CORPORATION
Entity Type:Organization
Organization Name:R. PATEL DDS & S. PATEL DDS, A DENTAL CORPORATION
Other - Org Name:SMILE BIG DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-898-8845
Mailing Address - Street 1:1185 MAGNOLIA AVE STE K
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3218
Mailing Address - Country:US
Mailing Address - Phone:951-898-8511
Mailing Address - Fax:951-898-6939
Practice Address - Street 1:1185 MAGNOLIA AVE STE K
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3218
Practice Address - Country:US
Practice Address - Phone:951-898-8511
Practice Address - Fax:951-898-6939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental